<%@ page language="java" contentType="text/html; charset=utf-8" pageEncoding="utf-8" isELIgnored="false"%>

<%
	request.setAttribute("title","众安车险信息");
	request.setAttribute("modelConfigPath", "insu");
%>

<%@ include file="/WEB-INF/views/shared/master/contentHeader.jsp"%>

<t:panel cssClass="panel-flat form-detailed" customBody="true" customHead="true">
	<div class="detailed-navbar-content panel-body">
		<t:form commandName="zhonganCar" action="/admin/insu/zhonganCar/save" method="post" cssClass="form-horizontal">
            <div class="hide">
                <t:hidden path="id"/>
                <t:hidden path="deleteMark"/>
            </div>
            <t:formgroup>
                <t:label path="notifyType" cssClass="col-sm-2" />
                <t:select2 path="notifyType" colClass="col-sm-4" />
                <t:label path="userId" cssClass="col-sm-2" />
                <t:input path="userId" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="requestDate" cssClass="col-sm-2" />
                <t:input path="requestDate" colClass="col-sm-4" />
                <t:label path="oldPolicyNo" cssClass="col-sm-2" />
                <t:input path="oldPolicyNo" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="policyNo" cssClass="col-sm-2" />
                <t:input path="policyNo" colClass="col-sm-4" />
                <t:label path="sumInsured" cssClass="col-sm-2" />
                <t:input path="sumInsured" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="premium" cssClass="col-sm-2" />
                <t:input path="premium" colClass="col-sm-4" />
                <t:label path="effectiveDate" cssClass="col-sm-2" />
                <t:input path="effectiveDate" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="expiryDate" cssClass="col-sm-2" />
                <t:input path="expiryDate" colClass="col-sm-4" />
                <t:label path="productName" cssClass="col-sm-2" />
                <t:input path="productName" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="promoteCode" cssClass="col-sm-2" />
                <t:input path="promoteCode" colClass="col-sm-4" />
                <t:label path="promoteName" cssClass="col-sm-2" />
                <t:input path="promoteName" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="promoteFee" cssClass="col-sm-2" />
                <t:input path="promoteFee" colClass="col-sm-4" />
                <t:label path="vehicleType" cssClass="col-sm-2" />
                <t:select2 path="vehicleType" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="insurePlace" cssClass="col-sm-2" />
                <t:input path="insurePlace" colClass="col-sm-4" />
                <t:label path="vehicleLicencePlateNo" cssClass="col-sm-2" />
                <t:input path="vehicleLicencePlateNo" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="vehicleVIN" cssClass="col-sm-2" />
                <t:input path="vehicleVIN" colClass="col-sm-4" />
                <t:label path="vehicleEngineNo" cssClass="col-sm-2" />
                <t:input path="vehicleEngineNo" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="vehicleOwnerCertificateNo" cssClass="col-sm-2" />
                <t:input path="vehicleOwnerCertificateNo" colClass="col-sm-4" />
                <t:label path="vehicleBrand" cssClass="col-sm-2" />
                <t:input path="vehicleBrand" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="policyHolderName" cssClass="col-sm-2" />
                <t:input path="policyHolderName" colClass="col-sm-4" />
                <t:label path="policyHolderPhoneNo" cssClass="col-sm-2" />
                <t:input path="policyHolderPhoneNo" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="vehiclePolicyOrderNo" cssClass="col-sm-2" />
                <t:input path="vehiclePolicyOrderNo" colClass="col-sm-4" />
                <t:label path="isNetToTelemarket" cssClass="col-sm-2" />
                <t:select2 path="isNetToTelemarket" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="recipienterName" cssClass="col-sm-2" />
                <t:input path="recipienterName" colClass="col-sm-4" />
                <t:label path="recipienterPhone" cssClass="col-sm-2" />
                <t:input path="recipienterPhone" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="recipienterAddress" cssClass="col-sm-2" />
                <t:input path="recipienterAddress" colClass="col-sm-4" />
                <t:label path="taxPreimum" cssClass="col-sm-2" />
                <t:input path="taxPreimum" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="paymentWay" cssClass="col-sm-2" />
                <t:select2 path="paymentWay" colClass="col-sm-4" />
                <t:label path="installmentNo" cssClass="col-sm-2" />
                <t:select2 path="installmentNo" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="endorsementType" cssClass="col-sm-2" />
                <t:select2 path="endorsementType" colClass="col-sm-4" />
                <t:label path="businessTpEndorsementNo" cssClass="col-sm-2" />
                <t:input path="businessTpEndorsementNo" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="businessFee " cssClass="col-sm-2" />
                <t:input path="businessFee " colClass="col-sm-4" />
                <t:label path="businessApplyTime " cssClass="col-sm-2" />
                <t:input path="businessApplyTime " colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="businessEffectiveDate" cssClass="col-sm-2" />
                <t:input path="businessEffectiveDate" colClass="col-sm-4" />
                <t:label path="compelTpEndorsementNo" cssClass="col-sm-2" />
                <t:input path="compelTpEndorsementNo" colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="compelFee " cssClass="col-sm-2" />
                <t:input path="compelFee " colClass="col-sm-4" />
                <t:label path="compelApplyTime " cssClass="col-sm-2" />
                <t:input path="compelApplyTime " colClass="col-sm-4" />
            </t:formgroup>
            <t:formgroup>
                <t:label path="compelEndorEffectiveDate" cssClass="col-sm-2" />
                <t:input path="compelEndorEffectiveDate" colClass="col-sm-4" />
            </t:formgroup>
        </t:form>
	</div>
</t:panel>

<script type="text/javascript">
	function saveData() {
		if (!$("form:first").valid()) {
			return;
		}
		$("form:first").submit();
	}
</script>
<%@ include file="/WEB-INF/views/shared/base/scripts/jqueryui.jsp"%>
<%@ include file="/WEB-INF/views/shared/base/scripts/limitless/default/formselects.jsp"%>
<%@ include file="/WEB-INF/views/shared/base/scripts/limitless/default/formstyling.jsp"%>
<%@ include file="/WEB-INF/views/shared/base/scripts/limitless/default/formpickers.jsp"%>
<%@ include file="/WEB-INF/views/shared/master/dialog.jsp"%>
<%@ include file="/WEB-INF/views/shared/scripts/editor/ueditor.jsp"%>
<%@ include file="/WEB-INF/views/shared/base/scripts/tools/upload-cos.jsp"%>
<%@ include file="/WEB-INF/views/shared/master/contentFooter.jsp"%>
